Goldberg, Teresia
Goldberg, Teresia is an individual health care provider with primary practice located at 3959 Broadway 601 A, New York NY 10032-1559. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Goldberg, Teresia can be contacted via phone (212) 305-5717.Contact Information
Primary practice address
3959 Broadway 601 A
New York NY 10032-1559
Phone: (212) 305-5717
Fax: (212) 304-5699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X |
Profile Details
| NPI number | 1154659878 |
|---|---|
| LBN Legal business name | Goldberg, Teresia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2009 |
| Last updated | Jun 30th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154659878 | NPPES |
| Other | 707539 | REGISTERED DIETITIAN |
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